Material Request Form

If you would like an item that Library doesn't own, please use this form to request it. The Library will decide whether or not to purchase it, or borrow it from another Library through Interlibrary Loan.

Before submitting a request, please check theonline catalog to determine whether the material is already available through the Library or Evergreen.

* Indicates a required field.

Patron Information

Name *

Name

First Name

Last Name

Library Card Number (No Spaces) *

Phone Number *

Email Address

Pickup Location *

At Which Branch Would You Like to Pickup the Item?

Madison

Hanover

Item Information

Title *

Author *

Is This Part of a Series?

Publication Date

Type of Material *

Fiction Book

NonFiction Book

Audiobook

Movie

Music

Other (please give more info below)

Audience *

Children

Young Adult

Adult

More Information

InterLibrary Loan Option

If the Library declines the acquire the material, would you like to request it through ILL?